Doc Gravador Reportings Flashcards
Who developed oral hygiene index
John C. Greene and Jack R. Vermillion
Simple and sensitive method for assessing the patients oral hygiene quantitatively
Oral hygiene index
Segments of OHI
- Distal to the right cupid of the maxillary arch
- Mesial to the right and left first bicuspid on the maxillary arch
- Distal to the left cuspid on the maxillary arch
- Distal to the left cuspid on the madibular arch
- Mesial to the right and left first bicuspid on the mandibular arch
- Distal to the right cuspid on the mandibular arch
Rules for OHI
Only fully erupted permanent teeth are scored
Third molars are not included
Scoring is based on the designatedsegment that has the greatest surface area of debris for DI and CI
DI scoring
0
1
2
3
0 - no debris or stain
1 - soft debris covering not more than 1/3 of the tooth surface
2 - soft debris covering more than 1/3 but nor more than 2/3 of the tooth surface
3 - soft debris covering more than 2/3 of the exposed tooth surface
Calculus index
0
1
2
3
0 - no calculus present
1 - supragingival calculus covering upto 1/3 of the exposed tooth surface
2 - supragingival covering 1/3 to 2/3 of the tooth root, with ou without subgingival fleck near the cervical area
3. Supargingival calculus covers over 2/3 of the exposed root and forms a continuous subgingival band near the revival area
A simplified method for easier and quicker assessmnt of oral hygiene status
Oral hygiene index - simplified
Selection for tooth surface ( 4 posterior - 2 anterior )
Posterior
—-
—-
Anterior
—-
—-
Posterior
- buccal surface of the selected upper molars
-lingual surface of the selected lower molars
Anterior
- labial surface of upper right and lower left of central incisors
Teeth with full crown restorations nd surfaces reduced in height by caries or trauma are not scored
Selection of tooth surface in OHIS
Accumulation of soft foreign matter loosely attached to the teeth
Oral debris
Deposit of inorganic salts composed primarily of calcium carbonate and phosphate mixed with food debris, bacteria and desquamated epithelial cells
Oral calculus
Main types of oral calculus
Supragingival - white to yllowish
Subgingival - light brown to black
Criteria for DI and CI in OHI-S (scoring)
0 - 0.6 good
0.7 - 1.6 satisfactory
1.7 - 3.0 poor
Criteria for OHI-S
0 - 1.2 - low / good
1.3 - 3.0 - average / satisfactory
3.1 - 6 - very high / poor
Clinical tools used to assess the health of gingival tissues, particularly in evaluating inflammatory severity
Gingival indices
- papillary bleeding index
- gingival index
An index that can be usde to evaluate a patients gingival condition and motivation, based on the intensity of bleeding from the papilla
Papillary bleeding index
Calculating on PBI or BOP
BOP = number of bleeding sites divide number of sites evaluated times 100
Index used for assessing severity of gingivitis and its location by examining qualitative changes of gingival tissues
Gingival index
4 gingival scoring units location
Disto facial papilla
Facial margin
Mesio facial papilla
Lingual gingival margin
Scoring system of GI
0
1
2
3
0 - no inflammation
1 - mild inflammation, slight change in color, slight edema, no BOP
2. Moderate inflammation, redness, edema, hypertrophy, BOP
3. Severe inflammation, marked redness and hypertrophy, ulceration and spontaneous bleeding
Calculation of GI
Total scores of all surface divide number of surface examined
0.1 - 1.0 - mild gingivitis
1.1 - 2.0 - moderate gingivitis
2.1 - 3.0 - severe gingivitis
Assessment of how fardon until the gum tissueattaches to the tooth
Periodontal probing
Purpose of periodontal probing
To evaluate gingival and periodontal healthy by measuring the depth of gingival sulcus and periodontal pocket
Key clinical parameters in periodontal probing.
- Probing depth.
- Clinical attachment level
- BOP
- Gingival recession
- Suppuration
Depth of gingival margin to pocket base
Normal 1-3mm
Pathologic >3mm
Locations on periodontal probing
- MF/MB
- ML
- L
- DF/DB
- DL
- F/B
A critical marker in diagnosing periodontal disease
Clinical attachment loss